One of the problems encountered by many women during pregnancy is the persistence of the urination sensation.
Causes of frequent urination during pregnancy
The urinary bladder is the muscular cavity where the urine produced by the kidneys is retained. The muscles below the bladder keep the urethra (the tube through which the urine leaves the body) closed and prevent urine from leaking outside.
The pressure in the bladder when it is full is signaled to the brain that forms in response the sensation of urination. When you urinate, the muscles of the urethra relax and the bladder empties.
Many women notice that, during pregnancy, the sensation of urination occurs more and more often. It can even be considered an early sign of pregnancy.
After the sixth or eighth week of pregnancy, normally, the woman begins to have an increased urination sensation.
This is because the blood volume of the body increases greatly, the kidneys have to increase their activity and produce more urine. Another factor that influences frequent urination is the increased level of progesterone in the first trimester of pregnancy in the mother's body. Progesterone relaxes the bladder muscles and from there the sensation appears. With the enlargement of the uterus and it will exert pressure on the bladder, even if it is not full.
You will see that at night you will wake up more often than before to go to the toilet. This happens due to the horizontal position that favors the re-entry of circulating feet during the day, which increases the urinary flow.
It is possible that after the second trimester of pregnancy, after the uterus rises in the pelvis, the frequent sensation of urination disappears, but this does not always happen.
There are studies that have shown that urinary volume will increase with pregnancy and will not decrease in the second trimester.
Solutions for dealing with frequent urination during pregnancy
• Avoid diuretics. Tea, coffee or any liquid containing caffeine stimulates urination.
• Try the Kegel exercises. These simple exercises can be done almost anywhere, anytime. They strengthen the pelvic muscles and can stop uncontrolled urinary leakage. These exercises prepare the muscles of the pelvis for labor and birth. Exercises consist of contracting the muscles that usually stop the flow of urine for 10 seconds. Do this in series of 10-20 repetitions, 3 times a day.
• Avoid consuming many liquids just before bedtime. In order not to wake up during the night to go to the bathroom, drink more fluids during the day and in the evening reduce them.
• Empty the bladder completely when you go to the bathroom. If you do not want uncontrolled leakage, do not wait until the bladder is full. Try to lean forward when you urinate for a better emptying of the bladder. You always go to the toilet before doing the Kegel exercises.
• Wear daily hygienic absorbents. These can be useful if leaks occur when you force yourself to sneeze or cough.
Can abstinence lead to urinary failure?
Many pregnant women can urinate uncontrollably when coughing or sneezing, lifting heavier objects, exercising or running.
Doing Kegel exercises strengthens your pelvic muscles and minimizes uncontrolled leakage, such problems can occur in the third trimester of pregnancy or after birth. Therefore, it is good to do these exercises all your life.
Problems encountered by women who frequent urination
Usually, frequent urination is a sign of pregnancy. But in other cases when it is associated with pain, itching in the urine, the urgent sensation of urination may be a urinary tract infection. The diagnosis of urinary tract infection is made by each doctor after performing some specific tests (summary of urine, uroculture). Urinary tract infections are dangerous in pregnancy and can affect the good evolution of pregnancy, which is why they must be detected and treated in time. During a urinary tract infection, a small amount of urine will usually be removed, while a normal amount will be excreted in pregnancy.
A urinary tract infection can be an alarm signal during pregnancy. The infection can spread to the kidneys and can even cause premature labor or rupture of the membranes. Therefore, it is advisable to contact the doctor if you feel that something is wrong.
Will this frequent sensation of urination be remitted?
You can expect to continue to urinate in large quantities and very often after birth. In this way your body gets rid of the fluids accumulated during pregnancy. But a few days after giving birth, everything will be normal and you will urinate as before pregnancy.
When should I go to the doctor?
Urinary tract infection is very common in pregnant women. If left untreated, it can worsen and even lead to pregnancy loss. See an emergency doctor if you have the following symptoms:
• Pain and sensation of itching when urinating;
• The urination sensation reappears after you go to the toilet; you feel that you have not completely emptied the bladder after going to the toilet;
• Fever, chills;
• Urine with blood.